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Fetal manipulation for facilitating tests of fetal wellbeingTan KH, Sabapathy A
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SummaryFetal manipulation for facilitating tests of fetal wellbeingNo evidence that manual fetal manipulation of unborn babies make tests of their wellbeing more effective. Tests on unborn babies such as ultrasound and heart rate testing are carried out to check their wellbeing. As a baby's sleep periods can alter those results, various methods are used to wake the baby. Manual fetal manipulation is one of the methods. The review of trials did not find this method to be effective. Research on manual fetal manipulation should take into consideration that there have not been any benefits demonstrated as yet.
This is a Cochrane review abstract and plain language summary, prepared and maintained by The Cochrane Collaboration, currently published in The Cochrane Database of Systematic Reviews 2010 Issue 1, Copyright © 2010 The Cochrane Collaboration. Published by John Wiley and Sons, Ltd.. The full text of the review is available in The Cochrane Library (ISSN 1464-780X).
This version first published online:
October 23. 2001 AbstractBackgroundManual fetal manipulation has been suggested to improve the efficiency of antepartum fetal heart rate testing. ObjectivesThe objective of this review was to assess the merits or adverse effects of the use of manual fetal manipulation in conjunction with tests of fetal wellbeing. Search strategyWe searched the Cochrane Pregnancy and Childbirth Group's Trials Register (October 2007). Selection criteriaAll published and unpublished randomised controlled trials assessing the merits of the use of fetal manipulation in conjunction with tests of fetal wellbeing. Data collection and analysisBoth review authors independently extracted data and assessed trial quality. Authors of published and unpublished trials were contacted for further information. Main resultsOnly three trials with a total of 1100 women with 2130 episodes of participation were included. Manual fetal manipulation did not decrease the incidence of non-reactive antenatal cardiotocography test (odds ratio 1.28, 95% confidence interval 0.94 to 1.74). Authors' conclusionsManual fetal manipulation has not been shown to reduce the incidence of non-reactive cardiotocography. Trials of manual fetal manipulation should take into consideration that there have not been any benefits demonstrated as yet. |